Organization
OPTIMUS LABS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANNON RILEY (OWNER)
(360) 434-0960
Entity
Organization
Contact information
Practice address
570 MEMORIAL CIR STE 110, ORMOND BEACH, FL 32174-5063
(360) 434-0960
(386) 287-5776
Mailing address
570 MEMORIAL CIR STE 110, ORMOND BEACH, FL 32174-5063
(360) 434-0960
(386) 287-5776
Taxonomy
Speciality
Code
Description
License number
State
246RM2200X
Medical Laboratory Technician
Primary
—
—
Other
Enumeration date
12/10/2021
Last updated
12/13/2021
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